Organization Active NPI

Willamette Hematology-Oncology PC

  • Specialist
  • Tualatin, OR
National Provider Identifier
1801069539
Registry record updated Aug 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MD12107 Issued in OR
Legal business name
WILLAMETTE HEMATOLOGY-ONCOLOGY PC
Practice address
6464 SW Borland Rd Ste B6
Tualatin, OR 97062-8876
Phone
(503) 692-3636
Fax
(503) 692-5019
NPI assigned
Apr 2, 2008
Last updated
Aug 14, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Christopher Nogeire, MD
Title
President
Phone
(503) 692-3636

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X MD12107 OR Primary

Addresses

Primary practice location

6464 SW Borland Rd Ste B6
Tualatin, OR 97062-8876

Mailing address

6464 SW Borland Rd Ste B6
Tualatin, OR 97062-8876
Phone (503) 692-3636

Other identifiers 2

IdentifierTypeStateIssuer
00WCJCTOtherORMEDICARE IDENTIFICATION
192575MedicaidOR

Other names 1

  • Willamette Hematology/Oncology PC Other name

National Provider Directory

National Provider Directory

Locations

6464 SW Borland Rd
Ste C5
Tualatin, OR 97062
Phone (503) 692-3636

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1207094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407974400000",
    "number": "1801069539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6464 SW BORLAND RD STE B6",
            "city": "TUALATIN",
            "state": "OR",
            "postal_code": "970628876",
            "telephone_number": "503-692-3636",
            "fax_number": "503-692-5019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6464 SW BORLAND RD STE B6",
            "city": "TUALATIN",
            "state": "OR",
            "postal_code": "970628876",
            "telephone_number": "503-692-3636",
            "fax_number": "503-692-5019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLAMETTE HEMATOLOGY-ONCOLOGY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-02",
        "last_updated": "2014-08-14",
        "status": "A",
        "authorized_official_last_name": "NOGEIRE",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "503-692-3636",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "OR",
            "license": "MD12107",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE IDENTIFICATION",
            "identifier": "00WCJCT",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "192575",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Willamette Hematology/Oncology PC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Tualatin, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.